Provider Demographics
NPI:1801017314
Name:CRUZ, YOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:YOEL
Middle Name:
Last Name:CRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 CALLE MONTE CARLO
Mailing Address - Street 2:URB. MONACO 3
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-6674
Mailing Address - Country:US
Mailing Address - Phone:787-414-7359
Mailing Address - Fax:
Practice Address - Street 1:131 MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-6659
Practice Address - Country:US
Practice Address - Phone:787-898-2950
Practice Address - Fax:787-898-2106
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16638208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice